Name
Making Measurement Based Care Work: 3-year efforts to change a culture
Description

Our team has spent the last three years trying to provide tools and education and support for implementing MBC, with some successes, with plenty of room for improvement. Our team implemented multiple changes to have MBC be our standard of care (i.e., create a Workbench to view a BHP’s panel of patient’s scores on PHQ-9 etc., develop a peer review process in which MBC was included in evaluation, etc.). We assessed the frequency of the use of multiple patient reported outcome measures (PROMs) based on presenting diagnosis over the course of three years, from 2023 through 2025. Multiple efforts have helped incrementally increase the various elements of MBC (e.g., collect, share, act), with lessons learned shared to promote continual progress toward better documenting/quantifying the impact that BHPs have on patient’s lives.

Speakers
Bill Sieber, PhD
Florencia Lebensohn-Chialvo, PhD
Alex Lanious, PhD
Co-Authors
Sean Johnson, DBH, Integrated Behavioral Health, UC San Diego, La Jolla, CA
Jeshmin Bhaju, PhD, Integrated Behavioral Health, UC San Diego, La Jolla, CA
Content Level
Intermediate
Tags
Financing and Operational Sustainability, Quality improvement programs, Workforce development
Session Type
Concurrent
Objective 1
describe various efforts that can promote MBC in a clinical culture.
Objective 2
list methods to evaluate the implementation of MBC
Objective 3
identify barriers to MBC implementation and possible solutions
Content Reference 1

Serrano N, Bosak K, Green Otero S, Hemesath K, Clemency-Cordes C, Sieber WJ, Haddick D. (2025). Beyond the Checkbox: Developing Measurement Based Care as a Clinical Skill in PCBH. Journal of Health Service Psychology 51:167–174. https://doi.org/10.1007/s42843-025-00142-6

Content Reference 2

Lewis CC, Boyd M, Puspitasari A, et al., (2019). Implementing Measurement-Based Care in Behavioral Health: A Review. JAMA Psychiatry, 76; (3): 324-335.

Content Reference 3

Connors, E.H., Douglas, S., Jensen-Doss, A. et al. (2021) What Gets Measured Gets Done: How Mental Health Agencies can Leverage Measurement-Based Care for Better Patient Care, Clinician Supports, and Organizational Goals. Adm Policy Ment Health 48, 250–265. https://doi.org/10.1007/s10488-020-01063-w

Content Reference 4

Duncan BL , Reese RJ, Lengerich AJ , DeSantis B , Comeau CV, and Johnson-Esparza Y. (2021)  Measurement-based care in integrated health care: A randomized clinical trial. Families, Systems, & Health, Vol. 39, Iss. 2, : 259-268. DOI:10.1037/fsh0000608

Content Reference 5

Delgadillo, J., Overend, K., Lucock, M., Groom, M., Kirby, N., McMillan, D., Gilbody, S., Lutz, W., Rubel, J. A., & de Jong, K. (2017). Improving the efficiency of psychological treatment using outcome feedback technology. Behaviour Research and Therapy, 99, 89–97. https://doi.org/10.1016/j.brat.2017.09.011.